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ASHLEY CONDON NP
NPI 1649770637
Nurse Practitioner - Family in Winthrop, ME

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
16 COMMERCE PLZ STE 3A, WINTHROP, ME 04364(207) 377-2111(207) 624-3845 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Condon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY CONDON NP (NPI 1649770637) is an individual family provider in Winthrop, Maine, licensed in Maine (CNP181030) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649770637
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY CONDONCredential: NP
Location Address16 COMMERCE PLZ STE 3AWinthrop, ME 04364-1562
Mailing Address8 Pinefields LnBrunswick, ME 04011-3632 · (207) 740-5723
Phone(207) 377-2111
Fax(207) 624-3845
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 15, 2018
✔ NPI 1649770637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP181030
16 COMMERCE PLZ STE 3A, Winthrop, ME 04364
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Condon Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901159821
PECOS Enrollment IDI20181023002224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN MARIE MIHALIK FNP-C
Nurse Practitioner (Family)
16 COMMERCE PLZ STE 3A
WINTHROP, ME 04364
Kennebec County (207) 377-2111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Condon's NPI number?

The NPI number for Ashley Condon is 1649770637. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Ashley Condon located?

Ashley Condon practices at 16 Commerce Plz Ste 3A, Winthrop, ME 04364. The listed phone number is (207) 377-2111.

What is Ashley Condon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Condon enrolled in Medicare?

Yes. Ashley Condon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ashley Condon affiliated with any hospitals?

According to CMS data, Ashley Condon is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Ashley Condon was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.